Epilepsy, An Issue of Neurologic Clinics

1st Edition, Volume 40-4 - October 22, 2022
Editor: Steven C. Schachter
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 9 1 6 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 9 1 7 - 3

In this issue of Neurologic Clinics, guest editor Dr. Steven C. Schachter brings his considerable expertise to the topic of Epilepsy. Top experts in the field cover key topics such… Read more

Epilepsy, An Issue of Neurologic Clinics

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In this issue of Neurologic Clinics, guest editor Dr. Steven C. Schachter brings his considerable expertise to the topic of Epilepsy. Top experts in the field cover key topics such as telemedicine and epilepsy care; wearable technologies and mobile apps in the evaluation and treatment of epilepsy; effects of maternal use of AEDs on child development; sleep and epilepsy; dietary treatments for epilepsy; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
The Epileptic Heart and the Case for Routine Use of the Electrocardiogram in Patients with Chronic Epilepsy
Key points
Public health burden of chronic epilepsy
Goals of this review
Cardiac pathogenesis in chronic epilepsy
Clinical evidence of utility of conventional electrocardiogram markers
Application of newer electrocardiogram tools for cardiac risk assessment
Epilepsy monitoring unit experience with novel electrocardiogram markers
Use of the 12-lead electrocardiogram in tracking effects of antiseizure medications
Effects of vagus nerve stimulation on seizure, sudden unexpected death in epilepsy, and cardiac risk
Putative mechanisms of vagus nerve stimulation-mediated cardioprotection
Summary and recommendations
Clinical care points
Telemedicine and Epilepsy Care
Key points
Introduction
Telemedicine-epilepsy care
Patient journey influences modality of provider engagement
Impact of Coronavirus disease 2019 (COVID-19) on epilepsy and telemedicine
Instrumentation of telemedicine in epilepsy care
Effectiveness of telemedicine for epilepsy
Medical record surveys
Clinician perspectives on telehealth
Caregiver perspectives on telehealth
Patients’ perspectives on telehealth
Benefits of telemedicine
Limitations of telemedicine
Reimbursement for telemedicine
Future directions of telemedicine
Summary
Clinics care points
The Potential of Wearable Devices and Mobile Health Applications in the Evaluation and Treatment of Epilepsy
Key points
Introduction
Biosignals and sensors
Clinical validation of FDA-approved wearable devices
Applications of wearables in epilepsy clinical care
Diagnosis of epilepsy: epileptic versus nonepileptic seizures
Epilepsy-related mortality
Mobile health applications in epilepsy
Limitations and challenges
Future directions
Summary
Update on Sudden Unexpected Death in Epilepsy
Key points
Introduction
Definition and classification of sudden unexpected death in epilepsy
Incidence of sudden unexpected death in epilepsy
Underlying mechanisms
Risk factors and predictors of sudden unexpected death in epilepsy
Clinical practice and prevention of sudden unexpected death in epilepsy
Summary
Clinics care points
Effects of Maternal Use of Antiseizure Medications on Child Development
Key points
Introduction
Background history
Anatomic risks
Neuropsychological outcomes
Mechanisms of antiseizure medication teratogenicity
Future directions
Summary
Clinics care points
Sleep and Epilepsy: Practical Implications
Key points
Introduction
Summary
Clinics care points
Disclosure
Dietary Treatments for Epilepsy
Key points
Introduction
Ketogenic diet options
Initiation of the ketogenic diet
Indications for the ketogenic diet
Contraindications
Adverse effects
Concomitant antiseizure therapy
Discontinuation of ketogenic diet therapy
Diet therapy in adults
Summary
Clinics care points
Disclosure
Evaluation and Treatment of Psychogenic Nonepileptic Seizures
Key points
Introduction
Discussion
Summary
Clinics care points
Supplementary data
Racialized Inequities in Epilepsy Burden and Treatment
Key points
Introduction
Definitions
Current evidence
Main Findings
Remaining gaps and future directions
Summary
Disclosure
Autism Spectrum Disorder and Epilepsy
Key points
Introduction
Definitions
Discussion
Summary
Clinics care points
Disclosure
Emerging Technologies for Epilepsy Surgery
Key points
Introduction
Diagnostic technologies in the preoperative workup
Therapeutic technologies in surgical treatment
Discussion
Summary
Clinics care points
Disclosure
Prevalence and Diagnosis of Sexual Dysfunction in People with Epilepsy
Key points
Introduction
Definition and classification of sexual dysfunctions
Screening for sexual dysfunction
Prevalence of sexual dysfunction in people with epilepsy
Factors affecting sexual functions in people with epilepsy
Evaluation and diagnosis of sexual dysfunctions
Summary
Clinics care points
Disclosure
Epilepsy in Older Persons
Key points
Introduction
Conclusions and future directions
Clinics care points
Disclosure
Electrographic Seizures in the Critically Ill
Key points
Introduction
Patients at risk/seizure prognostication
Ictal-interictal continuum and electrographic seizures
Ancillary testing
Clinical cases
Approach to treatment
Summary
Clinics care points
Supplementary data
Rescue Treatments for Seizure Clusters
Key points
Introduction
Summary
Clinics care points
Disclosure
Ethical publication statement

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Epilepsy, An Issue of Neurologic Clinics

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Steven C. Schachter